Manor Care, Inc. 10-Q/A
Table of Contents

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q/A
Amendment No. 1 to Form 10-Q
(Mark One)
     
þ   Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the quarterly period ended June 30, 2005
OR
     
o   Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Commission file number: 1-10858
Manor Care, Inc.
(Exact name of registrant as specified in its charter)
     
Delaware   34-1687107
(State or other jurisdiction of   (IRS Employer
incorporation or organization)   Identification No.)
     
333 N. Summit Street, Toledo, Ohio   43604-2617
(Address of principal executive offices)   (Zip Code)
Registrant’s telephone number, including area code: (419) 252-5500
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes þ No o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No þ
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the close of business on August 31, 2005.
Common stock, $0.01 par value – 78,754,187 shares
 
 


Table of Contents

Manor Care, Inc.
Form 10-Q/A
Explanatory Note
This Amendment No. 1 on Form 10-Q/A is being filed to amend and restate the Company’s Form 10-Q for the quarterly period ended June 30, 2005, which was originally filed on August 9, 2005.
During the first quarter of 2005, and in anticipation of adopting the Financial Accounting Standards Board (FASB) Statement No. 123 (revised 2004), “Share-Based Payment” (FAS 123R), the Company reviewed its accounting practices for all stock-based compensation, including restricted stock. Historically, the Company amortized its restricted stock compensation to the expected retirement date. As a result of the first quarter review, the Company determined that its restricted stock compensation should have been amortized to the retirement eligible date. The Company recorded a non-cash pretax charge of $10.3 million ($6.6 million after tax, or $.08 per share) to reflect the accelerated expense for the years 2000 through 2004. The effect on the Company’s prior years’ earnings per share was not deemed material at that time. In addition, restricted stock awards were made to retirement eligible employees in March 2005 that resulted in a pretax charge of $8.2 million ($5.2 million after tax or $.06 per share).
Subsequent to the release of the Company’s first quarter earnings, the Company’s independent registered public accounting firm advised the Company that due to the widespread practice of recognizing compensation expense over the explicit service period (up to the date of actual retirement), the SEC staff would accept continuation of that practice under Accounting Principles Board Opinion No. 25 (APB 25) and FASB Statement No. 123 (FAS 123). In addition, for companies that had followed that practice, the Company was advised that the SEC staff would require a continuation of that practice for awards granted prior to the adoption of FAS 123R. For companies that had already made the accounting change in the first quarter, such as Manor Care, the Company was further advised that there would be no objection from the SEC staff because of the immateriality of the change.
In the third quarter of 2005, the Company determined that deferred tax assets, related to restricted stock, previously recorded in the amount of $8.6 million, ($6.9 million of which was recorded in the first quarter of 2005), would not be realized due to the limitations on the tax deductibility of executive compensation and should not have been previously recorded. The Company further determined that the previously discussed first quarter restricted stock adjustments, including any reversal of deferred tax assets, while not material for all years prior to 2005, would be material for 2005 net income.
Consistent with the SEC staff views described above and in consultation with the Company’s independent registered public accounting firm, the Company reverted to its original accounting practice of recognizing compensation cost over the explicit service period and the restatement is included in the first quarter Form 10-Q/A and this Form 10-Q/A. The impact of the restatement for the second quarter is not material. The impact of the restatement for the six months ended June 30, 2005 reduced general and administrative expenses and increased income before income taxes by $17.9 million, increased income taxes by $8.6 million, increased net income by $9.3 million and increased diluted earnings per share by $.10.
This Form 10-Q/A contains the complete text of Items 1, 2 and 4 of Part I and Item 6 of Part II, as amended, as well as currently dated certifications. Unaffected items have not been repeated in this Amendment No. 1. This Amendment No. 1 does not reflect events occurring after the filing date of the original Form 10-Q on August 9, 2005 or modify or update the disclosures presented in the original Form 10-Q, except to reflect the restatement as described above. Accordingly, Amendment No. 1 should be read in conjunction with our filings made subsequent to the filing of the original Form 10-Q on August 9, 2005, including any amendments to those filings. Additional disclosure regarding the restatement is included in Note 9 to the restated unaudited consolidated financial statements included in Item 1 of Part I of this Amendment No. 1 on Form 10-Q/A.

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Manor Care, Inc.
Form 10-Q/A
Table of Contents
             
        Page  
        Number  
Part I.          
   
 
       
     Item 1.          
   
 
       
        4  
   
 
       
        5  
   
 
       
        6  
   
 
       
        7  
   
 
       
     Item 2.       19  
   
 
       
     Item 4.       26  
   
 
       
Part II.          
   
 
       
     Item 6.       26  
   
 
       
Signatures  
 
    27  
   
 
       
Exhibit Index  
 
    28  
 EX-31.1 Chief Executive Officer Certification
 EX-31.2 Chief Financial Officer Certification
 EX-32.1 CEO Certification Pursuant to 18 U.S.C. Section 13
 EX-32.2 CFO Certification Pursuant to 18 U.S.C. Section 13

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Part I. Financial Information
Item 1. Financial Statements.
Manor Care, Inc.
Consolidated Balance Sheets
                 
    June 30,        
    2005     December 31,  
    Restated     2004  
    (Unaudited)     (Note 1)  
    (In thousands, except per share data)  
Assets
               
Current assets:
               
Cash and cash equivalents
  $ 86,663     $ 32,915  
Receivables, less allowances for doubtful accounts of $54,329 and $54,532, respectively
    465,696       425,278  
Prepaid expenses and other assets
    28,337       24,762  
Deferred income taxes
    59,440       57,412  
 
           
Total current assets
    640,136       540,367  
 
               
Property and equipment, net of accumulated depreciation of $823,933 and $768,915, respectively
    1,493,024       1,495,152  
Goodwill
    93,010       92,672  
Intangible assets, net of amortization of $4,807 and $4,499, respectively
    10,768       9,099  
Other assets
    191,609       203,408  
 
           
Total assets
  $ 2,428,547     $ 2,340,698  
 
           
 
               
Liabilities And Shareholders’ Equity
               
Current liabilities:
               
Accounts payable
  $ 99,739     $ 102,178  
Employee compensation and benefits
    140,626       139,900  
Accrued insurance liabilities
    98,523       102,973  
Income tax payable
    31,826       4,710  
Other accrued liabilities
    66,226       49,992  
Long-term debt due within one year
    2,483       2,501  
 
           
Total current liabilities
    439,423       402,254  
 
               
Long-term debt
    554,287       555,275  
Deferred income taxes
    131,588       134,518  
Other liabilities
    268,699       264,492  
 
               
Shareholders’ equity:
               
Preferred stock, $.01 par value, 5 million shares authorized
Common stock, $.01 par value, 300 million shares authorized, 111.0 million shares issued
    1,110       1,110  
Capital in excess of par value
    374,136       366,649  
Retained earnings
    1,261,051       1,208,493  
Accumulated other comprehensive loss
    (1,208 )     (1,227 )
 
           
 
    1,635,089       1,575,025  
Less treasury stock, at cost (24.6 and 25.0 million shares, respectively)
    (600,539 )     (590,866 )
 
           
Total shareholders’ equity
    1,034,550       984,159  
 
           
Total liabilities and shareholders’ equity
  $ 2,428,547     $ 2,340,698  
 
           
See notes to consolidated financial statements.

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Manor Care, Inc.
Consolidated Statements of Income
(Unaudited)
                                 
    Three Months Ended June 30,     Six Months Ended June 30,  
    2005           2005        
    Restated     2004     Restated     2004  
    (In thousands, except per share amounts)  
Revenues
  $ 833,759     $ 799,135     $ 1,712,961     $ 1,596,473  
 
                               
Expenses:
                               
Operating
    694,221       659,757       1,428,371       1,319,115  
General and administrative
    40,680       33,106       76,946       67,897  
Depreciation and amortization
    35,629       32,276       69,076       64,023  
 
                       
 
    770,530       725,139       1,574,393       1,451,035  
 
                       
 
                               
Income before other income (expenses) and income taxes
    63,229       73,996       138,568       145,438  
Other income (expenses):
                               
Interest expense
    (10,216 )     (11,248 )     (20,332 )     (21,967 )
Gain (loss) on sale of assets
    663       (730 )     209       1,675  
Equity in earnings of affiliated companies
    1,455       1,844       2,823       3,897  
Interest income and other
    714       354       1,073       917  
 
                       
Total other expenses, net
    (7,384 )     (9,780 )     (16,227 )     (15,478 )
 
                       
 
                               
Income before income taxes
    55,845       64,216       122,341       129,960  
Income taxes
    17,766       24,081       43,899       48,735  
 
                       
Net income
  $ 38,079     $ 40,135     $ 78,442     $ 81,225  
 
                       
 
                               
Earnings per share:
                               
Basic
  $ .44     $ .46     $ .91     $ .93  
Diluted
  $ .43     $ .45     $ .89     $ .90  
 
                               
Weighted-average shares:
                               
Basic
    86,391       87,409       86,280       87,802  
Diluted
    88,125       89,339       87,923       89,936  
 
                               
Cash dividends declared per common share
  $ .15     $ .14     $ .30     $ .28  
See notes to consolidated financial statements.

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Manor Care, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
                 
    Six Months Ended June 30,  
    2005        
    Restated     2004  
    (In thousands)  
Operating Activities
               
Net income
  $ 78,442     $ 81,225  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    69,076       64,023  
Restricted stock compensation
    2,308       862  
Provision for bad debts
    14,974       10,946  
Deferred income taxes
    (4,958 )     (3,427 )
Net gain on sale of assets
    (209 )     (1,675 )
Equity in earnings of affiliated companies
    (2,823 )     (3,897 )
Changes in assets and liabilities, excluding sold facilities and acquisitions:
               
Receivables
    (59,917 )     (18,975 )
Prepaid expenses and other assets
    6,716       4,528  
Liabilities
    46,546       59,806  
 
           
Total adjustments
    71,713       112,191  
 
           
Net cash provided by operating activities
    150,155       193,416  
 
           
 
               
Investing Activities
               
Investment in property and equipment
    (64,776 )     (89,340 )
Investment in systems development
    (883 )     (1,087 )
Proceeds from sale of assets
    1,403       20,076  
Proceeds from sale of minority interests in consolidated entity
            2,778  
 
           
Net cash used in investing activities
    (64,256 )     (67,573 )
 
           
 
               
Financing Activities
               
Principal payments of long-term debt
    (924 )     (5,943 )
Payment of financing costs
    (500 )     (11 )
Purchase of common stock for treasury
    (13,394 )     (71,719 )
Dividends paid
    (25,884 )     (24,953 )
Proceeds from exercise of stock options
    8,551       13,502  
 
           
Net cash used in financing activities
    (32,151 )     (89,124 )
 
           
 
               
Net increase in cash and cash equivalents
    53,748       36,719  
Cash and cash equivalents at beginning of period
    32,915       86,251  
 
           
Cash and cash equivalents at end of period
  $ 86,663     $ 122,970  
 
           
See notes to consolidated financial statements.

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Manor Care, Inc.
Notes To Consolidated Financial Statements
(Unaudited and Restated)
Note 1 – Accounting Policies
Basis of Presentation
The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management of Manor Care, Inc. (the Company), all adjustments necessary for a fair presentation are included. Operating results for the six months ended June 30, 2005 are not necessarily indicative of the results that may be expected for the year ending December 31, 2005.
The balance sheet at December 31, 2004 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements. For further information, refer to the consolidated financial statements and footnotes thereto included in Manor Care, Inc.’s annual report on Form 10-K for the year ended December 31, 2004.
At June 30, 2005, the Company operated 278 skilled nursing facilities, 65 assisted living facilities, 94 hospice and home health offices and 90 outpatient therapy clinics.
Lease Accounting
During the second quarter of 2005, the Company completed an assessment of its accounting for over 150 leases and related amortization for leasehold improvements. Based on this assessment, the Company concluded that its previous accounting practices related to escalating rent over the term of the lease, free rental periods at the beginning of the lease and the leasehold amortization period were not correct. Historically, the Company expensed the lease payment as it was paid and should have amortized the total lease payments on a straight-line basis over the lease term. The Company recorded a non-cash charge of $4.5 million ($2.8 million after tax or $.03 per share) that reflected the correction through June 30, 2005. Of this amount, $3.0 million related to lease expense, consisting of $2.4 million of operating expenses and $0.6 million of general and administrative expenses. The remaining $1.5 million related to additional amortization of leasehold improvements. The effect on the Company’s prior years’ earnings per share was not material. Rental expense, excluding the $3.0 million adjustment, was $5.1 million for the second quarter of 2005.

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Comprehensive Income
Comprehensive income represents the sum of net income plus other comprehensive income (loss). Comprehensive income totaled $38.1 million and $78.5 million for the three and six months ended June 30, 2005, respectively, and $40.1 million and $80.7 million for the three and six months ended June 30, 2004, respectively. The other comprehensive loss in 2004 primarily represents the reversal of the unrealized gain on investments sold.
Insurance Liabilities
At June 30, 2005 and December 31, 2004, the workers’ compensation liability consisted of short-term reserves of $21.9 million and $23.7 million, respectively, which were included in accrued insurance liabilities, and long-term reserves of $45.5 million and $41.5 million, respectively, which were included in other long-term liabilities. The expense for workers’ compensation was $6.8 million and $16.8 million for the three and six months ended June 30, 2005, respectively, and $8.9 million and $18.2 million for the three and six months ended June 30, 2004, respectively. Although management believes that the Company’s liability reserves are adequate, there can be no assurance that these reserves will not require material adjustment in future periods. See Note 4 for discussion of the Company’s general and professional liability.
Restricted Stock Accounting
The compensation expense related to time-vested restricted stock awards is amortized up to the employees’ expected retirement date. If an employee retires before the expected retirement date, it would require an acceleration of any remaining unrecognized compensation expense. The Company will be required to change this policy for all awards granted or modified after adoption of the Financial Accounting Standards Board (FASB) Statement No. 123 (revised 2004), “Share-Based Payment,” on January 1, 2006, as discussed below. Any new or modified awards after December 31, 2005 will be required to be amortized up to the employees’ retirement eligible date. The Company recorded compensation expense for time-vested restricted stock awards of $0.9 million and $1.5 million for the three and six months ended June 30, 2005, respectively, and $0.5 million and $0.9 million for the three and six months ended June 30, 2004, respectively. If the Company had recorded the expense up to the employees’ retirement eligible date, the Company would have expensed $0.5 million and $8.5 million for the three and six months ended June 30, 2005, respectively, and $1.7 million and $4.3 million for the three and six months ended June 30, 2004, respectively.
Stock-Based Compensation
Stock options are granted for a fixed number of shares to employees with an exercise price equal to the fair market value of the shares at the date of grant. The Company accounts for the stock option grants in accordance with APB Opinion No. 25, “Accounting for Stock Issued to Employees,” and related Interpretations. Accordingly, the Company recognizes no compensation expense for the stock options. During the first half of 2005, employees delivered shares to the

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Company to cover the payment of the option price and related tax withholdings on the option exercises. These shares had a value of $14.9 million.
The following table illustrates the effect on net income and earnings per share as if the Company had applied the fair value recognition provisions of FASB Statement No. 123, “Accounting for Stock-Based Compensation,” to stock-based employee compensation for options granted since 1995. Effective March 15, 2005, stock options were awarded to executive officers that vest immediately. In addition, the vesting of the stock options awarded in February 2003 and 2004 with an original three year vesting were accelerated to vest immediately. The Company accelerated the vesting of the prior year awards in order to avoid compensation expense when the new accounting standard for share-based compensation is required to be adopted, as discussed in more detail under New Accounting Standard. Management believes that the executive officers will continue to be employed until the original vesting period; therefore, the Company has not recorded any expense under APB 25. The accelerated vesting of prior year awards resulted in additional pro forma expense, net of related tax effects, of $3.0 million in the first quarter of 2005, as included in the table below.
                                 
    Three Months Ended     Six Months Ended  
    June 30     June 30  
    2005     2004     2005     2004  
    (In thousands, except earnings per share)  
Net income — as reported
  $ 38,079     $ 40,135     $ 78,442     $ 81,225  
Deduct: Total stock-based employee compensation expense determined under fair value based method for all awards, net of related tax effects
    (2,375 )     (899 )     (10,376 )     (2,522 )
 
                       
Net income — pro forma
  $ 35,704     $ 39,236     $ 68,066     $ 78,703  
 
                       
 
                               
Earnings per share — as reported:
                               
Basic
  $ .44     $ .46     $ .91     $ .93  
Diluted
  $ .43     $ .45     $ .89     $ .90  
 
                               
Earnings per share — pro forma:
                               
Basic
  $ .41     $ .45     $ .79     $ .90  
Diluted
  $ .40     $ .44     $ .77     $ .87  

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New Accounting Standard
In December 2004, the FASB issued Statement No. 123 (revised 2004), “Share-Based Payment,” which is a revision of Statement No. 123. Statement 123R replaces APB Opinion No. 25 and amends Statement No. 95, “Statement of Cash Flows.” Statement 123R requires all share-based payments to employees, including grants of employee stock options, to be recognized in the financial statements based on their fair value. The pro forma footnote disclosure is no longer an alternative to financial statement recognition. In April 2005, the Securities and Exchange Commission postponed the effective date. Statement 123R is effective for the Company beginning January 1, 2006, but early adoption is permitted in periods in which financial statements have not been issued. There are two transition alternatives, modified-prospective and modified-retrospective. Under the modified-prospective method, the Company will be required to recognize compensation cost in the financial statements on the date of adoption. Under the modified-retrospective method, the Company will be required to restate prior periods by recognizing in the financial statements the same amount of compensation cost as previously reported in the pro forma footnote disclosures under Statement 123. The Company will be permitted to apply the modified-retrospective method either to all periods presented or to the start of the fiscal year in which Statement 123R is adopted.
In addition, Statement 123R requires awards classified as liabilities (such as cash-settled stock appreciation rights) to be measured at fair value at each reporting date versus measured at intrinsic value under Statement 123. The time value of the liability will be recognized as compensation cost but then be reversed as the settlement date approaches. At expiration, total compensation cost will not differ from that which would result under the intrinsic-value method. Management expects to adopt this Statement on January 1, 2006 under the modified-prospective-transition method. As of June 30, 2005, substantially all of the Company’s options are vested, and the pre-tax expense expected to be recorded in 2006 related to stock options outstanding at June 30, 2005 is $0.2 million. Management has not determined the impact of adoption of cash-settled stock appreciation rights.
Note 2 — Debt
On May 27, 2005, the Company terminated its existing three-year $200 million revolving credit facility that was scheduled to mature April 21, 2006. The Company wrote off $0.6 million in deferred finance fees. Simultaneously, the Company entered into a new five-year $300 million unsecured revolving credit facility with a group of lenders, with an uncommitted option available to increase the facility by up to an additional $100 million (accordion feature). As of June 30, 2005, there were no loans outstanding under this agreement and after consideration of usage for letters of credit, there was $251.4 million available for future borrowing plus the accordion feature. The credit commitment expires on May 27, 2010.
Loans under the five-year credit facility are guaranteed by substantially all of the Company’s subsidiaries. This credit facility contains various covenants, restrictions and events of default.

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Among other things, these provisions require the Company to maintain certain financial ratios and impose certain limits on its ability to incur indebtedness, create liens, pay dividends, repurchase stock and dispose of assets.
The Company can borrow under the credit facility, at its option, on either a competitive advance basis or a revolving credit basis. Competitive borrowings will bear interest at market rates prevailing at the time of the borrowing on either a fixed rate or a floating rate basis, at the Company’s option. Revolving borrowings will bear interest at variable rates that reflect, at the Company’s option, the agent bank’s base lending rate or an increment over Eurodollar indices, depending on the quarterly performance of a key ratio (debt divided by earnings before interest, taxes, depreciation and amortization (EBITDA), as defined in the credit agreement). The credit facility also provides for a fee on the total amount of the facility, depending on the same key ratio. In addition to direct borrowings, the credit facility may be used to support the issuance of up to $125 million of letters of credit.
At June 30, 2005, the Company had $100 million principal amount outstanding of the 7 1/2% Senior Notes due June 15, 2006 issued by its wholly owned subsidiary, Manor Care of America, Inc (MCA). The Company classified these notes as long-term because it has the ability and intent to finance the redemption of the notes with a portion of the proceeds from the issuance on August 1, 2005 of $400 million convertible senior notes due 2035. See Note 8 for further discussion.
Note 3 — Revenues
Revenues for certain health care services are as follows:
                                 
    Three Months Ended     Six Months Ended  
    June 30     June 30  
    2005     2004     2005     2004  
            (In thousands)          
Skilled nursing and assisted living services
  $ 704,021     $ 674,836     $ 1,453,489     $ 1,351,398  
Hospice and home health services
    97,482       96,257       192,813       188,350  
Rehabilitation services (excludes intercompany revenues)
    24,576       20,510       49,372       42,334  
Other services
    7,680       7,532       17,287       14,391  
 
                       
 
  $ 833,759     $ 799,135     $ 1,712,961     $ 1,596,473  
 
                       
Note 4 — Contingencies
One or more subsidiaries or affiliates of MCA have been identified as potentially responsible parties (PRPs) in a variety of actions (the Actions) relating to waste disposal sites which allegedly are subject to remedial action under the Comprehensive Environmental Response Compensation Liability Act, as amended, 42 U.S.C. Sections 9601 et seq. (CERCLA) and similar state laws. CERCLA imposes retroactive, strict joint and several liability on PRPs for the costs

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of hazardous waste clean-up. The Actions arise out of the alleged activities of Cenco, Incorporated and its subsidiary and affiliated companies (Cenco). Cenco was acquired in 1981 by a wholly owned subsidiary of MCA. The Actions allege that Cenco transported and/or generated hazardous substances that came to be located at the sites in question. Environmental proceedings such as the Actions may involve owners and/or operators of the hazardous waste site, multiple waste generators and multiple waste transportation disposal companies. Such proceedings involve efforts by governmental entities and/or private parties to allocate or recover site investigation and clean-up costs, which costs may be substantial. The potential liability exposure for currently pending environmental claims and litigation, without regard to insurance coverage, cannot be quantified with precision because of the inherent uncertainties of litigation in the Actions and the fact that the ultimate cost of the remedial actions for some of the waste disposal sites where MCA is alleged to be a potentially responsible party has not yet been quantified. At June 30, 2005, the Company had $4.5 million accrued in other long-term liabilities based on its current assessment of the likely outcome of the Actions which was reviewed with its outside advisors. At June 30, 2005, there were no receivables related to insurance recoveries.
The Company is party to various other legal matters arising in the ordinary course of business including patient care-related claims and litigation. At June 30, 2005 and December 31, 2004, the general and professional liability consisted of short-term reserves of $61.5 million and $65.9 million, respectively, which were included in accrued insurance liabilities, and long-term reserves of $114.5 million and $122.5 million, which were included in other long-term liabilities, respectively. The expense for general and professional liability claims, premiums and administrative fees was $18.2 million and $36.4 million for the three and six months ended June 30, 2005, respectively, and $20.2 million and $40.7 million for the three and six months ended June 30, 2004, respectively, which was included in operating expenses. Although management believes that the Company’s liability reserves are adequate, there can be no assurance that such provision and liability will not require material adjustment in future periods.

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Note 5 — Earnings Per Share
The calculation of earnings per share (EPS) is as follows:
                                 
    Three Months Ended     Six Months Ended  
    June 30     June 30  
    2005     2004     2005     2004  
    (In thousands, except earnings per share)  
Numerator:
                               
Numerator for basic EPS — net income
  $ 38,079     $ 40,135     $ 78,442     $ 81,225  
After-tax amount of interest expense on Convertible Senior Notes (Old Notes)
    29       27       55       54  
 
                       
Numerator for diluted EPS
  $ 38,108     $ 40,162     $ 78,497     $ 81,279  
 
                       
 
                               
Denominator:
                               
Denominator for basic EPS — weighted- average shares
    86,391       87,409       86,280       87,802  
Effect of dilutive securities:
                               
Stock options
    1,080       1,102       1,063       1,220  
Non-vested restricted stock
            461               460  
Convertible Senior Notes
    654       367       580       454  
 
                       
Denominator for diluted EPS — adjusted for weighted-average shares and assumed conversions
    88,125       89,339       87,923       89,936  
 
                       
 
                               
EPS:
                               
Basic
  $ .44     $ .46     $ .91     $ .93  
Diluted
  $ .43     $ .45     $ .89     $ .90  
Options to purchase shares of the Company’s common stock that were not included in the computation of diluted EPS because the options’ exercise prices were greater than the average market price of the common shares were: 0.6 million shares with an average exercise price of $38 for the first half of 2005 and 0.7 million shares with an average exercise price of $37 for the first half of 2004.

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Note 6 — Employee Benefit Plans
The Company has two qualified and two non-qualified defined benefit pension plans included in the table below. Two of the plans’ future benefits are frozen. The components of net pension cost are as follows:
                                 
    Three Months Ended     Six Months Ended  
    June 30     June 30  
    2005     2004     2005     2004  
            (In thousands)          
Service cost
  $ 430     $ 380     $ 859     $ 793  
Interest cost
    989       934       1,979       1,973  
Expected return on plan assets
    (1,184 )     (1,163 )     (2,367 )     (2,389 )
Amortization of unrecognized transition asset
    (12 )     (12 )     (24 )     (24 )
Amortization of prior service cost
    491       491       981       981  
Amortization of net loss
    235       143       470       354  
 
                       
Net pension cost
  $ 949     $ 773     $ 1,898     $ 1,688  
 
                       
Note 7 — Segment Information
The Company provides a range of health care services. The Company has two reportable operating segments, long-term care, which includes the operation of skilled nursing and assisted living facilities, and hospice and home health. The “Other” category includes the non-reportable segments and corporate items. The revenues in the “Other” category are derived from rehabilitation and other services. Asset information, including capital expenditures, is not reported by segment by the Company. Operating performance represents revenues less operating expenses and does not include general and administrative expenses, depreciation and amortization, other income and expense items, and income taxes.

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    Long-Term     Hospice and              
    Care     Home Health     Other     Total  
            (In thousands)          
Three months ended June 30, 2005
                               
Revenues from external customers
  $ 704,021     $ 97,482     $ 32,256     $ 833,759  
Intercompany revenues
                    25,741       25,741  
Depreciation and amortization
    32,451       797       2,381       35,629  
Operating margin
    121,680       14,816       3,042       139,538  
 
                               
Three months ended June 30, 2004
                               
Revenues from external customers
  $ 674,836     $ 96,257     $ 28,042     $ 799,135  
Intercompany revenues
                    16,816       16,816  
Depreciation and amortization
    30,629       713       934       32,276  
Operating margin
    116,875       19,232       3,271       139,378  
 
                               
Six months ended June 30, 2005
                               
Revenues from external customers
  $ 1,453,489     $ 192,813     $ 66,659     $ 1,712,961  
Intercompany revenues
                    45,390       45,390  
Depreciation and amortization
    64,160       1,570       3,346       69,076  
Operating margin
    251,193       27,267       6,130       284,590  
 
                               
Six months ended June 30, 2004
                               
Revenues from external customers
  $ 1,351,398     $ 188,350     $ 56,725     $ 1,596,473  
Intercompany revenues
                    33,812       33,812  
Depreciation and amortization
    60,668       1,484       1,871       64,023  
Operating margin
    234,318       35,272       7,768       277,358  
Note 8 — Subsequent Event
On August 1, 2005, the Company issued $400 million principal amount of 2.125% convertible senior notes due in 2035 (the Notes) in a private placement. The Notes pay interest semiannually in arrears at an annual rate of 2.125 percent until August 1, 2010 and at an annual rate of 1.875 percent thereafter. The Notes will mature on August 1, 2035. The Company intends to register the Notes with the Securities and Exchange Commission. The Notes are guaranteed by substantially all of the Company’s subsidiaries.
The Notes will be convertible into cash and, if applicable, shares of the Company’s common stock based on an initial conversion rate, subject to adjustment, of 22.3474 shares per $1,000 principal amount of Notes (which represents an initial conversion price of approximately $44.75 per share), only under the following circumstances: (1) if the average of the last reported sales prices of the Company’s common stock for the 20 trading days immediately prior to the conversion date is greater than or equal to 120 percent of the conversion price per share of common stock on such conversion date; (2) if the Company has called the Notes for redemption;

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(3) upon the occurrence of specified corporate transactions; or (4) if the credit ratings assigned to the Notes decline to certain levels. In general, upon conversion of a note, a holder will receive cash equal to the lesser of the principal amount of the note or the conversion value of the note and common stock of the Company for any conversion value in excess of the principal amount.
The Company may redeem the Notes at its option on or after August 1, 2010 at a redemption price in cash equal to 100 percent of the principal amount of the Notes to be redeemed. The holders of the Notes may require the Company to purchase all or a portion of their Notes under certain circumstances, in each case at a repurchase price in cash equal to 100 percent of the principal amount of the repurchased Notes at any of five specified dates during the life of the notes, with the first such date being August 1, 2010, or if certain fundamental changes occur.
In connection with the issuance of the Notes, the Company entered into convertible note hedge and warrant option transactions with respect to its common stock. These transactions have no effect on the terms of the Notes and are intended to reduce the potential dilution upon future conversion of the Notes by effectively increasing the initial conversion price to $59.66 per share, representing a 60 percent conversion premium.
The estimated net proceeds were approximately $391.0 million, after deducting fees and estimated expenses. The Company used the net proceeds to purchase $93.0 million of its common stock concurrent with this transaction and to pay the net cost of $53.8 million of the convertible note hedge and warrant option transactions. The Company intends to use the remaining net proceeds to redeem $100 million principal amount of the 7 1/2% Senior Notes issued by its wholly owned subsidiary, MCA, in the third quarter of 2005 and for general corporate purchases, including additional repurchases of common stock.
As of June 30, 2005, the Company had remaining authority to purchase $43.9 million of its common stock. On July 22, 2005, the Company announced that its Board of Directors authorized management to spend an additional $300 million to purchase common stock through December 31, 2006. The Company purchased 3,079,500 shares from July 1 through August 5, 2005 for $115.4 million, including the $93.0 million concurrent with the Note offering. At August 5, 2005, the Company had remaining unused repurchase authority of $228.5 million.
Note 9 — Restatement of Previously Issued Financial Statements
To correct the items discussed in our Explanatory Note on page 2, the Company restated its consolidated balance sheet at June 30, 2005, its consolidated statement of income for the three and six months ended June 30, 2005 and its consolidated statement of cash flows for the six months ended June 30, 2005. The accompanying notes to the consolidated financial statements have been restated as necessary to reflect the adjustments.

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The effects of the restatement on the consolidated balance sheet as of June 30, 2005 are summarized as follows:
                 
    June 30, 2005  
    Previously        
    Reported     Restated  
    (In thousands)  
Current liabilities:
               
Income tax payable
  $ 31,952     $ 31,826  
Long-term liabilities:
               
Deferred income taxes
    122,863       131,588  
Shareholders’ Equity:
               
Capital in excess of par value
    392,013       374,136  
Retained earnings
    1,251,773       1,261,051  
Total shareholders’ equity
    1,043,149       1,034,550  
The consolidated statement of income for the six months ended June 30, 2005 was adjusted by a decrease to general and administrative expenses by $17.9 million and an increase to income taxes by $8.6 million. The effects of the restatement on the consolidated statement of income for the three months and six months ended June 30, 2005 are as follows:
                                 
    Three months ended     Six months ended  
    June 30, 2005     June 30, 2005  
    Previously             Previously        
    Reported     Restated     Reported     Restated  
    (In thousands, except per share amounts)  
Expenses:
                               
General and administrative
  $ 40,844     $ 40,680     $ 94,823     $ 76,946  
 
                               
Income before other income (expenses) and income taxes
    63,065       63,229       120,691       138,568  
Income before income taxes
    55,681       55,845       104,464       122,341  
Income taxes
    17,738       17,766       35,300       43,899  
Net income
    37,943       38,079       69,164       78,442  
 
                               
Earnings per share:
                               
Basic
  $ .44     $ .44     $ .80     $ .91  
Diluted
  $ .43     $ .43     $ .79     $ .89  

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There was no change to the cash provided by operations as the adjustments were all non-cash items. The effects of the restatement on the consolidated statement of cash flows for the six months ended June 30, 2005 are summarized as follows:
                 
    Six months ended  
    June 30, 2005  
    Previously        
    Reported     Restated  
    (In thousands)  
Operating activities:
               
Net income
  $ 69,164     $ 78,442  
Restricted stock compensation
    20,185       2,308  
Deferred income taxes
    (13,683 )     (4,958 )
Liabilities
    46,672       46,546  
Total adjustments
    80,991       71,713  

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Results of Operations — Overview
     Federal Medicare Payment Legislation. On July 28, 2005, The Centers for Medicare & Medicaid Services, or CMS, announced the final rule for nursing home payments for fiscal 2006, which included refinements to the patient classification system and the elimination of the temporary add-on payments for certain high-acuity patients. A market basket or inflationary increase of 3.1 percent is effective October 1, 2005 for our skilled nursing facilities and patient classification refinements and elimination of add-on payments is effective January 1, 2006. As a result of the final rule, we estimate that our average Medicare rates will increase approximately $10 per day on October 1, 2005 and decrease approximately $17 to $20 per day on January 1, 2006.
     Second Quarter 2005 Results Compared with First Quarter 2005. Our second quarter results were lower than expected due to a decrease in occupancy without a corresponding decrease in costs. Our occupancy levels decreased from 89 percent in the first quarter of 2005 to 88 percent in the second quarter of 2005.
There were a number of unusual items in the second quarter of 2005, including higher-than-normal stock-based compensation expense, a one-time correction to our lease expense and the write-off of deferred finance fees, which were partially offset by a favorable tax rate. Our stock-based compensation expense of $5.2 million ($3.3 million after tax or $.04 per share) in the second quarter of 2005 was higher than our normal expense of one cent per share primarily due to a 9 percent increase in our stock price in the second quarter. During the second quarter, we completed our assessment of over 150 leases and related amortization for leasehold improvements and recorded a non-cash charge of $4.5 million ($2.8 million after tax or $.03 per share) that reflected the correction through June 30, 2005. See Note 1 to the consolidated financial statements for additional discussion. We replaced our existing revolving credit facility which resulted in the write-off of deferred finance fees of $0.6 million or about $.01 per share. Ohio tax legislation enacted in June 2005 to phase out the Ohio Franchise tax and phase in the Ohio Commercial Activity tax reduced our tax expense by $2.9 million or $.03 per share.
Critical Accounting Policies
     General and Professional Liability. Our general and professional reserves include amounts for patient care-related claims and incurred but not reported claims. Our independent actuary provided a range of the indicated loss reserve levels during the second quarter of 2005 for all policy periods through May 31, 2005. The amount of our reserves is determined based on an estimation process that uses information obtained from both company-specific and industry data. The estimation process requires us to continuously monitor and evaluate the life cycle of the claims.

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Using data obtained from this monitoring and our assumptions about emerging trends, we along with our independent actuary develop information about the size of ultimate claims based on our historical experience and other available industry information. The most significant assumptions used in the estimation process include determining the trend in costs, the expected cost of claims incurred but not reported and the expected costs to settle unpaid claims. Our assumptions take into consideration our internal efforts to contain our costs by reviewing our risk management programs, our operational and clinical initiatives, and other industry changes affecting the long-term care market. In comparing the first half of 2005 with the first half of 2004, the number of new claims and our average settlement cost per claim are similar. Based on our own semi-annual review of trends and confirmed with our independent actuary’s analysis, we maintained our accrual for current claims at $5.1 million per month. Although we believe our liability reserves are adequate and appropriate, we can give no assurance that these reserves will not require material adjustment in future periods.
     Workers’ Compensation Liability. Our workers’ compensation reserves are determined based on an estimation process that uses company-specific data. We continuously monitor the claims and develop information about the ultimate cost of the claims based on our historical experience. During 2003 and continuing into 2004, we expanded and increased attention to our safety, training and claims management programs. The number of new claims in the first half of 2005 decreased in comparison to the prior year period. As a result of these factors, our workers’ compensation expense decreased $2.1 million for the second quarter of 2005 and $1.4 million for the first half of 2005 in comparison to prior year periods. Although we believe our liability reserves are adequate and appropriate, we can give no assurance that these reserves will not require material adjustment in future periods.
Results of Operations –
Quarter and Year-To-Date June 30, 2005 Compared with June 30, 2004
     Revenues. Our revenues increased $34.6 million, or 4 percent, from the second quarter of 2004 to 2005. Revenues from our long-term care segment (skilled nursing and assisted living facilities) increased $29.2 million, or 4 percent, due to increases in rates/patient mix of $57.3 million and occupancy of $3.0 million that were partially offset by a decrease in capacity of $31.1 million. Our revenues from the hospice and home health segment increased $1.2 million, or 1 percent, primarily from an increase in the number of patients utilizing our hospice services.
Our revenues in the first half of 2005 increased $116.5 million, or 7 percent, compared with the first half of 2004. The increase included revenues of $63.2 million in the first quarter of 2005 associated with provider assessments. Revenues from our long-term care segment, excluding revenues in the first quarter of 2005 associated with provider assessments, increased $38.9 million, or 3 percent, due to increases in rates/patient mix of $106.5 million and occupancy of $11.9 million that were partially offset by a decrease in capacity of $79.5 million. Our revenues from the

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hospice and home health care segment increased $4.5 million, or 2 percent, primarily from an increase in the number of patients utilizing our hospice services.
Our average rates per day for the long-term care segment were as follows:
                                                 
    Second Quarter             First Half        
    2005     2004     Increase     2005     2004     Increase  
Medicare
  $ 355.26     $ 335.64       6 %   $ 353.87     $ 334.48       6 %
Medicaid
  $ 146.97     $ 135.58       8 %   $ 146.53     $ 134.38       9 %
Private and other (skilled only)
  $ 213.17     $ 200.94       6 %   $ 212.38     $ 198.99       7 %
Our Medicare rates increased as a result of an inflation update of 2.8 percent effective October 1, 2004, as well as higher acuity patients. Our average Medicaid rates excluded prior period revenues. However, when giving effect for the increase in accompanying state provider assessments, the net Medicaid increase was approximately 2 percent for the first half of 2005 compared with the first half of 2004.
Our occupancy levels, including or excluding start-up facilities, were 88 percent for the second quarters and first half of 2004 and 2005. Excluding start-up facilities, our occupancy levels for skilled nursing facilities were 88 percent for the second quarters of 2004 and 2005, and 89 percent for the first half of 2004 and 2005. The quality mix of revenues from Medicare, private pay and insured patients that related to our long-term care segment and rehabilitation operations increased from 69 percent for the second quarter and first half of 2004 to 70 percent for the second quarter of 2005 and 71 percent for first half of 2005.
Our bed capacity declined between the second quarters and first half of 2004 and 2005 primarily because of the divestiture of 21 facilities in 2004.
     Operating Expenses — Quarter. Our operating expenses in the second quarter of 2005 increased $34.5 million, or 5 percent, compared with the second quarter of 2004. The increase included a $2.4 million one-time adjustment to correct the accounting for our leases as described further in Note 1 to our consolidated financial statements.
Operating expenses from our long-term care segment increased $24.4 million, or 4 percent, between the second quarters of 2004 and 2005. The largest portion of the operating expense increase related to ancillary costs, excluding internal labor, of $17.7 million and provider assessments of $6.5 million. Ancillary costs, which include various types of therapies, medical supplies and prescription drugs, increased as a result of our more medically complex patients. Partially offsetting these increases were decreases in labor costs of $8.4 million and general and professional liability expense of $2.0 million. Our labor costs declined due to the divestiture of facilities in 2004. Our average wage rates increased 4 percent compared with the second quarter of 2004.

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Our second quarter results of our hospice and home health segment continue to be affected by our reorganization in the first quarter of 2005 when we appointed a new general manager and new divisional and regional management. There has been improvement in operating margins between the first and second quarter of 2005. Margins declined in the second quarter of 2005 compared to the second quarter of 2004 because our operating expenses increased $5.6 million, or 7 percent, primarily due to a $3.2 million increase in labor costs.
     Operating Expenses – First Half. Our operating expenses in the first half of 2005 increased $109.3 million, or 8 percent, compared with the first half of 2004. The increase included provider assessments for several states of $57.5 million in the first quarter of 2005.
Excluding provider assessments in the first quarter of 2005, operating expenses from our long-term care segment increased $27.7 million, or 2 percent, between the first half of 2004 and 2005. The largest portion of the operating expense increase related to ancillary costs, excluding internal labor, of $30.7 million and provider assessments of $6.5 million. Partially offsetting these increases were decreases in labor costs of $18.2 million and general and professional liability expense of $4.2 million. Our labor costs declined due to the divestiture of facilities in 2004.
Our operating expenses from our hospice and home health segment increased $12.5 million or 8 percent, primarily due to a $7.4 million increase in labor costs.
     General and Administrative Expenses. Our general and administrative expenses increased $7.6 million and $9.0 million from the second quarters and first half of 2004 to 2005, respectively, primarily due to the higher costs associated with our stock appreciation rights, restricted stock and deferred compensation plans. These costs increased $5.1 million for both periods primarily as a result of a 9 percent increase in our stock price in the second quarter.
     Depreciation and Amortization. Our depreciation expense increased $3.2 million and $4.8 million from the second quarters and first half of 2004 to 2005, respectively. We recorded a $1.5 million adjustment to correct the amortization of leasehold improvements. See Note 1 to the consolidated financial statements for further discussion. Excluding the leasehold improvement adjustment and the impact of divested facilities in 2005 and 2004, our depreciation increased $2.3 million and $4.7 million from the second quarters and first half of 2004 and 2005, respectively.
     Interest Expense. Interest expense decreased $1.0 million and $1.6 million from the second quarters and first half of 2004 to 2005, respectively, because of lower debt levels partially offset by higher interest rates and additional finance fees. In the second quarter of 2005, we wrote off $0.6 million in deferred finance fees related to the termination of our revolving credit facility. See Note 2 to the consolidated financial statements for further discussion.

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     Gain on Sale of Assets. Our gain on sale of assets in 2004 primarily resulted from the sale of four skilled nursing centers in January 2004 and the sale of certain other assets.
     Equity in Earnings of Affiliated Companies. Our equity earnings decreased in the second quarter and first half of 2005 compared with the prior year periods primarily because of the decline in earnings from our ownership interests in two hospitals.
     Income Taxes. Our effective tax rate was 31.8 percent in the second quarter of 2005 compared with 37.5 percent in the second quarter of 2004. Our effective tax rate in the second quarter of 2005 is lower than our expected tax rate of approximately 37.5 percent, as revised in our first quarter Form 10-Q/A, primarily because of a decrease in our deferred tax rate. Ohio tax legislation enacted in June 2005 to phase out the Ohio Franchise tax and phase in the Ohio Commercial Activity tax reduced our tax expense by $2.9 million or $.03 per share.
Liquidity and Capital Resources
     Cash Flows. During the first half of 2005, we satisfied our cash requirements primarily with cash generated from operating activities. We used the cash principally for capital expenditures, the purchase of our common stock and the payment of dividends. Cash flows from operating activities were $150.2 million for the first half of 2005, a decrease of $43.3 million from the first half of 2004. Our operating cash flows in 2005 decreased primarily because of Medicare settlement payments of $31.9 million in the first quarter of 2005 related to the former Manor Care home office cost reports for 1997 through 1999, which are under appeal and recorded as receivables.
     Investing Activities. Our expenditures for property and equipment of $64.8 million in the first half of 2005 included $20.6 million to construct new facilities and expand existing facilities.
     Debt Agreements. On May 27, 2005, we terminated our three-year $200 million revolving credit facility and entered into a five-year $300 million unsecured revolving credit facility, with an uncommitted option available to increase the facility by up to an additional $100 million (accordion feature). The new unsecured revolving credit facility includes a $125 million sublimit for letters of credit. As of June 30, 2005, there were no loans outstanding under the new facility and after consideration of usage for letters of credit, there was $251.4 million available for future borrowing plus the accordion feature.
On August 1, 2005, we issued $400 million of 2.125% convertible senior notes due 2035. The estimated net proceeds were approximately $391.0 million, after deducting fees and estimated expenses. We used the net proceeds to purchase $93.0 million of our common stock concurrent with this transaction and to pay the net cost of $53.8 million of the convertible note hedge and

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warrant option transactions. See Note 8 to the consolidated financial statements for further discussion. We intend to use the remaining proceeds to redeem MCA’s $100 million principal amount of 7 1/2% Senior Notes in the third quarter of 2005 and for general corporate purposes, including additional repurchases of common stock.
The holders of our $100 million Convertible Senior Notes due 2023 had the right to require us to purchase the Notes on April 15, 2005 but only $15,000 was redeemed. The next put date is April 15, 2008. The holders of these notes have the ability to convert the notes when our average of the last reported stock price for 20 trading days immediately prior to conversion is greater than or equal to $37.34, which it was as of June 30, 2005. The holders of $6.6 million principal amount of the Old Notes can convert their notes into shares of our common stock. The holders of $93.4 million principal amount of the New Notes can convert their notes into cash for the principal value and into shares of our common stock for the excess value, if any.
     Stock Purchase. In July 2004, our Board of Directors authorized us to spend up to $100 million to purchase our common stock through December 31, 2005. On July 22, 2005, we announced that our Board of Directors authorized an additional $300 million through December 31, 2006. We purchased 384,500 shares in the first half of 2005 for $13.4 million and an additional 3,079,500 shares from July 1, 2005 through August 5, 2005 for $115.4 million. As of August 5, 2005, we had $228.5 million remaining authority to repurchase our shares. We may use the shares for internal stock option and 401(k) match programs and for other uses, such as possible acquisitions.
     Cash Dividends. On July 22, 2005, we announced that the Company will pay a quarterly cash dividend of 15 cents per share to shareholders of record on August 8, 2005. This dividend will approximate $12.5 million and is payable August 22, 2005. We intend to declare and pay regular quarterly cash dividends; however, there can be no assurance that any dividends will be declared, paid or increased in the future.
We believe that our cash flow from operations will be sufficient to cover operating needs, future capital expenditure requirements, scheduled debt payments of miscellaneous small borrowing arrangements and capitalized leases, cash dividends and some share repurchase. Because of our significant annual cash flow, we believe that we will be able to refinance the major pieces of our debt as they mature. It is likely that we will pursue growth from acquisitions, partnerships and other ventures that we would fund from excess cash from operations, credit available under our revolving credit facility and other financing arrangements that are normally available in the marketplace.

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Cautionary Statement Concerning Forward-Looking Statements
This report may include forward-looking statements. We have based these forward-looking statements on our current expectations and projections about future events. We identify forward-looking statements in this report by using words or phrases such as “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may be,” “objective,” “plan,” “predict,” “project,” and “will be” and similar words or phrases, or the negative thereof.
These forward-looking statements are subject to numerous assumptions, risks and uncertainties. Factors which may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by us in those statements include, among others: changes in the health care industry because of political and economic influences; changes in Medicare, Medicaid and certain private payors’ reimbursement levels or coverage requirements; existing government regulations, including applicable health care, tax and health and safety regulations, and changes in, or the failure to comply with, governmental regulations or the interpretations thereof; legislative proposals for health care reform; general economic and business conditions; conditions in financial markets; competition; our ability to maintain or increase our revenues and control our operating costs; the ability to attract and retain qualified personnel; changes in current trends in the cost and volume of patient care-related claims and workers’ compensation claims and in insurance costs related to such claims; and other litigation.
Although we believe the expectations reflected in our forward-looking statements are based upon reasonable assumptions, we can give no assurance that we will attain these expectations or that any deviations will not be material. Except as otherwise required by the federal securities laws, we disclaim any obligations or undertaking to publicly release any updates or revisions to any forward-looking statement contained in this report to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based.

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Item 4. Controls and Procedures
An evaluation was performed under the supervision and with the participation of our management, including the chief executive officer, or CEO, and chief financial officer, or CFO, of the effectiveness of the design and operation of our disclosure procedures. Based on that evaluation, our management, including the CEO and CFO, concluded that our disclosure controls and procedures were effective as of June 30, 2005. There were no significant changes in our internal control over financial reporting in the second quarter of 2005 that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Part II. Other Information
Item 6. Exhibits.
     
S-K Item    
601 No.    
31.1
  Chief Executive Officer Certification
 
   
31.2
  Chief Financial Officer Certification
 
   
32.1
  Chief Executive Officer Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
 
   
32.2
  Chief Financial Officer Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

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Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
         
    Manor Care, Inc.
    (Registrant)
 
       
Date September 27, 2005
  By   /s/ Geoffrey G. Meyers
 
       
 
      Geoffrey G. Meyers, Executive Vice President
 
      and Chief Financial Officer

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Exhibit Index
     
Exhibit    
31.1
  Chief Executive Officer Certification
 
   
31.2
  Chief Financial Officer Certification
 
   
32.1
  Chief Executive Officer Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
 
   
32.2
  Chief Financial Officer Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

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